Chapter 19 exam Flashcards

1
Q

Analgesics

A

relieve pain

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2
Q

3 types of analgesics

A

opioid, nonopioid, adjuvant

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3
Q

subjective

A

can be experienced or perceived only by the individual subject

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4
Q

endorphins

A

activate the body’s opiate receptors, causing an analgesic effect.

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5
Q

3 types of opioid analgesics

A

Natural alkaloids, semisynthetic, and synthetic examples

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6
Q

ex of natural opioid analgesics

A

morphine and codeine

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7
Q

ex of Semisynthetic opioid analgesics

A

hydromophone and oxycodone

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8
Q

examples of synthetic opioid analgesics

A

meperidine (Demerol) and fentanyl (Duragesic)

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9
Q

Tolerance

A

how well the body handles it. More and more over time.

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10
Q

dependence

A

the state of relying on or being controlled by someone or something else.

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11
Q

Salicylates indications and high dosage side effects

A

are most commonly used for their analgesic and antipyretic properties, as well as for their anti-inflammatory action

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12
Q

Coanalgesics def…

A

combined with opioids for more effective analgesic action

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13
Q

What two drugs are frequently combined with opioids?

A

NSAIDS & acetaminophen

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14
Q

Antipyretic

A

used to reduce fever

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15
Q

Action of SRAs

A

serotonin levels decrease, while vasodilation and inflammation of blood vessels in brain increase as migraine symptoms worsen

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16
Q

what are SRAs effective in treating?

A

associated nausea and vomiting

17
Q

sumatriptan is aka what drug?

A

Imitrex

18
Q

sumatriptan (Imitrex) def/used for what?

A

first “triptan” approved; used for the treatment of acute migraine headaches in adults

19
Q

 Sedatives & Hypnotics

A

Medications used to promote sedation in smaller doses and to promote sleep (hypnotic) in larger doses

20
Q

 Sedative

A

calm, soothe, or produce sedation

21
Q

 Hypnotic

A

produce sleep

22
Q

diphenhydramine is aka as?

A

(Benadryl, Nytol, Sominex)-

23
Q

what can happen to older patients who take diphenhydramine?

A

more prone to side effects, such as confusion, blurred vision, and dizziness

24
Q

can diphenhydramine be used long term?

A

¬ None of these meds should be used long-term

25
Q

BZD example

A

temazepam (Restoril)

26
Q

Non-BZDs example

A

zolpidem (Ambien)

27
Q

BDZs and non-BZDs are classified as what?

A

contolled substances

28
Q

BDZs/non-bzds have what potential for abuse?

A

lower potential

29
Q

side effects of BDZs and non-bdzs

A

daytime sedation, confusion, HA-hangover, sleepwalking and engaging in complex tasks

30
Q

ramelton is aka what?

A

Roxerem)

31
Q

ramelton (roxerem) def…

A

first FDA-approved prescription medication that acts on melatonin receptor

32
Q

what does MRA do?

A

¬ Mimics action of melatonin to trigger sleep onset

33
Q

abuse potential/dependence of MRA

A

they are eliminated

34
Q

is MRA classified as a controlled substance?

A

NO

35
Q

how fast do MRAs work?

A

¬ Works quickly, generally inducing sleep in less than one hour

36
Q

how should MRA be taken?

A

¬ Give within 30 minutes of going to bed with a high-fat meal or snack

37
Q

what should you avoid with MRA?

A

¬ Don’t use with melatonin due to additional sedative effects